HomeMy WebLinkAboutPV2019-097 - Permits`y,wrr,4, City of Newport Beach - Building Divistion SOLAR Permit: PV2019-097 *PV2019-097*
y PO Box 1768 Newport Beach, California 92658-8915
a Permit Counter Telephone (949)644-3288
r. Inspection Requests/Telephone (949)644-3255 Project No : 1683-2019
I� 2O _Z/
Job r Address: 6 WATE O WA�te I F�r')p ICa te. —issued Date : 0712912019
Descri tion:SFR SOLARP TOVOLTAIC 4. w 31 oP to uurFn oeuoi e
Inspector Area: 6 QLe ❑ 80% Or ❑ 100% refund
Owner: RAHMATUL H ' ra CESEURGYERXTINS Architect:Address: 113 WATER RK CAd Lid Whomress•
IRVINE CA 92 18 SAN MATEO, CA 94402
Phone: Phone: 650-638-1028 Phone: State Lic:
Applicant: FOXX MELIS on at Engineer:
Address: 2102 ALTON W is RE
Address:
IRVINE CA 92 06 c:
Phone: Lic Exp Date: 02/28/2022 Phone: fate Lic:
Code Edit : 016 Worker's Compensation Insurance Designer: RUCK MATTHEW
Type of Construction: B Carri ZURICH N . Address 21 ALTON PKWY
Occupancy Group: 3lU � n 102 P12fa
No of Stories: 0 3/202606 ;,i.
(Work �OPtOCI)tbacks Rear. (no Work started)
g
Use Zone: r
Front:
Bldg Height: 0 Left: ' 1"
Note. Right:
Insp. initials: 1> IZ
Valutaion : $29,4 -
Building Permit Fee $240.00 Record Management 8 1/2X 11 Plan Check Fee : $210.00 Record Management (Plans) ) $0.00
TOTAL FEE: $450.00 Plan Check Fee : $450.00 Fee Due at Permit Issuance : $0.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
NER-13UILUtK UtL.LAKAI IVry
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
:lion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing Wa ermit subjects theion 7000) of
licant toion 3 of the a civil slness enalt and
of
'essions Code) or that d exeyrlgtipLr, _An�vi I^lion f S fD TOa r by anv anDlicar✓<.:(gd.. P 1 PP P Y
more than five hu'dre dollars ($500). `��ZO ^�� }
t � Ils,rt d or offered for sale (Section 7044
LJ I, as owner of tne:pro
Business and Profession:
improvements are not Intl
Im roved for the purpose
I, as owner of the pro
apply to an owner of prop
❑ 1 am exempt from Iicl
By my signature below I 1
sell a structure that I hav,
Professions Code, is Eva
Signature of Property OM
LICENSED CONTRA(
1 hereby affirm under per
land effect.
License Class
'ARNING: FAILURE TO SECU
DST OF COMPENSATION, D,
hereby affirm under pal
1 have and will mair
erformance of the work
]I have and will maint
Isurance carrier and po
mployees with wages as their sole compensation, will do (_) all of or (_) rtlons of the wor and the structure Is no In
s or personal effort, build
r or Sf t 'run doe of a to an owner of Dr0 art whiz t5tpllii3
or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have
Q $��% or ❑ 1Wrleo refund
exclus' ly co ch it se t t o s c �e �� tact (Sec Ion 44, Business an ro essions Code: i
builds pro thereon ho s r the pro th ��� licensed Contractor pursuant to the Contractors' State
ntrac can fo r1
v xcept for my personal rest ence In whit Must have resideresideo Tor at least one year prior to completion of the impr,
as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applica
or I gull
IR' ATI
D
of uam li r v ons of a r 'n action 7000) of Division 3 of the Business and PI
License No Date Contractor Signature
TION DECLARATION
'OR PE 1N CO R IS U W U ND MALL SUBJECT VE RIMINAL PENALTIES AND IVIL F � UP TO E HUNDI
ES PRO ED D OF I� INTEREST, AN EY' Fe .isc
of ne elcla (((���,, II�+ ®®®® �A
a certificate of QL�tjq r workers' compensation, issued �nN�tRt� �tt�1;i�V2elations as provided
Nhich this permit iB Issued. fTo�lcyge l 11
vorkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which
Policy Number
ne of Agent
certify that, in the perfo
. if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
comply with those provisions.
e
improves the property, provided that the
burden of proving that it was not built or
Contractors' State License Law does not
ense Law).
vents covered by this permit, I cannot
law, Section 7044 of the Business and
Date_
nature of Applicant
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
(nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION
DATE
BY
_
u� a.�svw......... _. __....
FEDERAL REGULATIONS PART61 OFTITLE 40AND
AQMO RULE 1403.
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIflCAT10N IS NOT APPLICABLE TO
PROPOSED DEMOLITION,
SIGNATURE:
PERMIT EXPIRED
PERMITCANCELLED —
/O-2U-21
1=�., ^-+
PERMIT EXTENDED
PERMIT FINAL.
CERTIFfCATEOF
OCCUPANCYISSUED
_
Date
Code, and my license is in full force
DOLLARS ($100,000(, IN ADDITION TO THE
3700 of the Labor Code, for
is issued. My workers'
Civil Code).
laws of California, and
Date